HomeMy WebLinkAbout3430 MEADOW BROOK - Building Permits/
F�JECTAODHESS: 3Q3O j�jE]i�Q(�j $RQ�j{
� OWNEN'SNAME: VILLAGE CREEK H.O.A.
nooxess: 3929 TIMBER LAKE
(, COSTA NESA, CA 92626
553-1876
ABCMIENGINEEfl:
ADOpESS:
flEG.NO.:
I1NIT:
UNIT:
PEAMinEE: pETERSON ROOFING ( 714 ) 979-7111
ADDflESS: 3OOF7 ENTERPRISE
COSTA MESA CA 92628
LICENSEU CONTflACTOP DECIABAT10N: I hereby affirm that I am Iicense0 untler pwvisions of Chapter 9(commencing wiih Seciion
I 7000� of Div�sion 3 o�ihe Business antl Pmlessions Cotle. and my license is in lull lorce an0 e�fect.
ciTvu�c.:i04544G5 STpTELIC.:GO%S%Z cus
�aie: ? /'l'� /�—,�, � Signature: ��L11� f Q
WOBREB$' COMPENSRTION �ECLABATION: I hereby allirm that I hav certifica�e o� conseni to seli�insure or a ceN�icate o� WOBers'
comPensation is�agcej. o� �ryertine� �ov ��e�eoi Isection aeo4 �an. �4 / O 1/ i 4
voucv xo.: 5 TATE FUND E%P.OFTE:
COMPANV:
�-�] Cenilied coOY �s hereGy fumishe0. � Cenifie0 copY �s IileO wit0 t�e city B'' '' ion.
�_ �//� /
'Oate: � � AOPficanL ���w � {
E%EMPTION FpOM WONRERS' COMPENSATION OECNflFTION: (This s ion neetl nol be comple�etl il �he permi� is �or one hunAreU ($11q) ar less).
I ceriify �hal in ihe peAormance o� the work tor whic0 ihis Dermi� is i55ue0, I shall not empioy any person in any manne� so as �o b¢come
su�le�� �o Ihe Workers' Compen5ation Laws of Calilomia,
�ale: SignaWre:
NOTICE: I( alter making Ihis tleclaration, you should become subjec� �a �he Workers' Compensation pmvisions of the Labor
Coae. you must fon�witA comply with suc� pmvisions or this permit shall he deeme0 revoke0.
CONSTBUCTION LEN�ING RGENCY: I hereby affirm Ihai �here is a cons�mction lentling agency �or �he pedormance of the work �or
whic� Ihis permil is issuetl (Sectian 3W7. Civ. C�.
LEN�EH:
aooxess:
� ��
CITY OF COSTA MESA - BUILDING PERMIT PERM NO: B u6�4Ua
PERMIT NO: B 063408 PLAN CHECK NO: N GOVT: N SUP ; N
CONSTRUCTZON TYPE; V-N PERMII TYPE: STR PURPOSE: ALT
JOB DESCRIPTION : T/OFF SHEATH REROOF W/COMP SHINGLES SQ FT: 3,�00
CLAZM VALUE; 3,700.00 CALC-VALUE: 3,700.00 GROUP OCC; R-1 /
COMMENTS: SMOKE DETECTORS RE� PERMIT.INCLUDES 3432 6_34�34 MEADOW BROOK
**�e***�***�r*****���x**�*�r*�� �x�u�****�*+�******�x***x*�r'x*���c�€�,sF �* ��-���q�rpe^�-y� ra�**�r
Z O N I N G R E Q U I R E M E���;+P���L- �Q— r t-�.r 7�f1
S E T B A C K S
------------ MAIN BUILDING ---------- --------- Ak�e:G:SS�bu����--------
FRNT: FT If�l AEAR: FT IN FRNT; FT IN REAR; FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKING RE � PROV: PARCEL: 93506022 ZNE: REF NO;
PLANNZNG N TES>
if if iF 3E 3E ik±F aE iE 3E if 3f 1E 3E�if iE 1F *!f 1E if �f iF 3E if 3E iE iE iE iE 1E if iE iE iE iElk iE iElk 1E if iE if �(-!E 1E iElf iE if IE iE iE �E 1F 3f iF iE iE 1E 1E iE iE iE 1E iF iF.�,� 1E iE 1P iE iF �)f iF �f iE
D E V Ei...L O P M E N T S E R V I C E 5 R E Q U I R E M E N �„� S
ZONING APPROV� BY DATE: :'�
V .�
BUILDZNG APPRO�V;ED SY : DATE: ,.
APPLICATiON ISSUED HY: DATE:
*�**�*��***���*�*****���������,��,�,����r����r���,�������,��**x�r*��r*��x,l x x��r*
iF iE iF 3E iE iE if iE �F iE 3E �1E iElF�f iE if iF if fE 1F if #�IF if ik iF %•!f iE �!F iE 1E �1E 1E if it iE 1F iE 1FlE iF if iE iE iE iE 3f iF 7(� if 1k iE ff �k iE iF 1F 1E �IE iElf iElF if 1E 1ElF �)t 7F if ik 1E fF 1E iE iF �lE
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT;Y
OWNEB BUILOEB OECIAflRT10N: I hereby allirm Ihat I am ex¢mpt �mm t�e ConVactors' State License Law for ihe following reason BLDG PMT PLUMB ING ELEC�I'RIC MECHANIC FIRE SMI P/RES GR.� jN�',
(Seclion 7031.5 Business antl Pm�essional Catle: Any ci�y ol counry which requires a permit �o con5imc�, al�er, impmve, demolish, ar P ERM I T 6 3. 0 0 . 5 0
r¢pair any slmc�ure, prior lo ils i55uance. also r¢quires [h¢ apPlicant �or SUCh p¢rmi� �o �ile a 5ignetl S�a�emenl Ihal he/S�e i5liten5¢tl
pursuani lo Ihe piouislons oi ihe Conttactars' Siale License Law (Chapter 9(commencing wiih Seclion 7000) o� Division 3 0l �he Business p LAN
antl Pmfessions Code� ar that he/she is exem0� Iherefrom antl the 6asis tor ihe alleged exemption. Any violation oi Section 7031.5 by
any applicani �or a permil 5uhletl5 Ihe ap0litant �0 a tivil p¢naliy o� noi more lhan live hUnOr¢d 4011ars (E500�. I SSUE FEE
i. as owner o� �he pmpetly or my empioyees with wages as teeir so�e campenulion, will tlo Ihe work, ana ihe HUILDING—DIV—>
'� ❑ slmcture is no� imen0e0 or o��eretl �or saie (Seclion 7044. Business antl Pm�essional Catle: The Contractors' Staie License Law T�TAL$ ---- 1
Idoes nol apply lo an owner of a pmperty wha �uilds or improves thereon, antl who does such work himsell/herself or t�wugh
his or her own employees. pwvitlea t�a� such impmvemen�s are no� intentletl or oflered �o� sale. If, how¢v¢r �h¢ builtling or REVEAIUE D 1 V I S 1
impmvemeni is so10 wiihin one year o� cample�ian, Ihe owner will have ��e burden o� Dmving he/she di0 no� 6uiltl or impmve
mr ine Durpose oi saie�. HLDG PMT
I, as owner o� the pmpeny, am exclusively comracting wiih licensetl conVac�ors �o conslmci Ihe pmjec� (Sec�ion 7044, Business 6 3. 0 0
❑ antl Pmtessions Cotle'. The Conlractors' Slaie LicenSe Law does no� aDDly �o an owner of praperty who builds or impmves Ihereon
antl w�o conVacts lor such pmjec�s with a conVactoqs) license pursuan� to the ConVactors' S�aie License Law). I am aware iE *iE iE if iE if iE iE iF'1F i4lf'�
thal pmal o� �heir Warker's Compensa�ion insurance shoultl be pmvideU b me.
� 1 am exemp� untler Sec�ion: B. 8 P. C.
for I�is reason:
Date: Ownec
I Uo here0y cenify that I am aware oi an0 unaerstantl ine requirements ol Califomia Health anA Safery CoOe Sections 2550.5, 25533, an0
2553a and Ihat I or any �uWre builtling occupan� willlwill nol (circle one) neea to comply wi�h saitl staie cotles antl �he requi�emen�s for a
permit for cons�mclion or motlifica�ion Imm Ihe Air Ouali�y Managemen� Disirici. Residential canslmc�ion aOPlica�ions are exempt �mm
�hese pmvisions.
Dale: ApplicanP.
I herehy cetlity ihat I have read Ihis appl¢ation and state thal lhe aUove inlormation is carrecL I agree to comply with all city and county
oreinances an0 sialelawsrela�ingto building constmc�ion an0 �ereby aWhonzerepresenia�ives oflhis cirylo enteruponlhe above-mentioned
pmpetlY �ar inspection purposes. ��_�/y—����
Oaie'. �/�/3 Signalure' —���j�—' �+�+*��`�"��
Oriver's License or Sociat Securiry a: �
i646a6 W�ne—Builtlino'. Green—Cotle Entorcemenq Canary—Aoolicant: Pink—Revenue: Goltlenroa—Assessor
TYPE QTY
SFR 3700
PERMIT ISSUE PLAN-CHECK
' 63.50 0.00 0.00
ON TOTAiS--> COLLECTED:
PLUMBZNG ELECTRIC MECHANIC
SMIP/NON-RES
TOTAL PAID DUE
63.50 63,50 ,00
63.50 OVER/SHORT: 00
FIRE SMIP/TOT� GRADING PLAN-CHECK
�F if iE iE iE iE iF iF �E iE 3E IF 3E 3f if iE 1E 3E iE iE 1E IF iE ik iF 3F it iE if * iE iE �IE ih ik i4 if # If iE 9E iE iE iF 3E iE iE iE iE 3E iE%�k iE iE if dE if -)E fF if {E iE iE 3E
I N D I V I D U A L F E E B R E A K D O W N
D E S C R I P T I O N UNIT COST TOTAL COST
REROOF BY VALUE RESZDENTZ:4L NOZONE 1.00 3,7�0.00
ENL1 OF FEES
O1 00144S9S-Q0144596 T�7 T
UATE: 0$/�l9i93 TIltE� 14:1i
d3.�0
4. • C�STRUCTION AND PLANNING - .- - ; POOL ,PA
APPROVALS Permit # Date Inspector qppROVALS Permit # Date Inspector�
1. Temporary Elettrical Service or Pole � •. � 52. Pool & Equipment Location - .
2, Soil Pipe-Undrgrnd. _ � ' 53. Steel Reinforcement - �
3. Electrical Conduit Utility-Undrgrnd. � 54. Forms ' ,
4. Electrica� Cond"vibUndrgrnd. - 55. ElectricaV 8onding --
5. Steel Reinforcement 56. Rough Plumbing & Pressute Test .
6. Electrical UFER Grnd. � 57. APPROVAL TO COVEfl-GUNITE �
7. Footing: 58. Electrical Conduit-Undrgrnd.
8. Foundation • _ 59. Gas Pipe, � Undrgrnd., Test
9. Wate� P�Pe-Undrgrnd. -� � 60. Backwash Lines, P�Trap, � Undrgmd.
10. S[ructural Floor SYstem ' 67. APPROVAL TO DECK �
tt. Propertv Sewer �ine & House Connection ' 62. 8ackwash & Receptor-Final -
72. Sewer Cap 63. Heater & Vent-Final
73. Roof Drains � � . 64. Plumbing System � Final
14. Rough Plumbing '. 65. Electrical�Fina� �
75. Rough Electricai-Conduit � 66. Solar System-Final
16. Rough Electric Wiring 67. Fencirig & Access ApP�oval
17. Rou4h Wiring Sign 68. APPROVED FOR PLASTERING
16. Rough Electrical-T Bar Ceiling 69. POOLISPA SYSTEMS FINAI
19. Rough Heating & Air Conditioning � FIRE DEPT. REQUIREMENT '
20. Rough Factory Fireplace � � - � � �APPROVALS, � Permit # ,
21. Ducts, in Structure- ... . ��� • 70. Underground Hydro
22. Ducts, Ventilating ' i' , 71. Product Piping � Gas O�OiI
23: Gas Pipe-Rough & Tesc � . , . , . � � 7Z, Underground Flush' � � �
24. Roof Framing � •' - ' � 73. Undergmd. Storage�Tank O Gas ❑ Oil
25. Roof Sheathing ' � 3 q3 6�yC'�- 74. Qverhead Nydro'�� �
26. T-Bar Ceiling (Structurall & Monocoat . 75. Dry Chemical
27. Frame and Flashing , , . 76. Dry Standpipe � ,
28. Wthing&Siding " "' 77. FIXEDSYSTEM�FWAL
�
29. Insulation . ". � � � 78. FIRE PREV. FINAL •
� � ' - HEALTH DEPTt REQUIREMENT
30. Drywall Nailing -� i
i
'37. Plaster Brown Coat. � - � � j, 79. FINAL INSPECTION �
32. Electrical Power�Meter-Finah . ` � � 80.��.FOOD CERTIFICATE ISSUED
33. Final Electric � , ,
, � � Notes: . ,
34. Fina� Heating & Air Conditioning � � �� � .
� 35. Fina� Gas Pipe-Test � „ � � �, ' '
36. Hood or Canopy . � �, � � i
37. Fina� Factory Fireplace � �- '
I
38. Final Plumbing �� I � �
39. Wate� Service-Final ' 4 � �
�
40. Gas Service�Final . i � �, - .
41. Sola� DomestioFinal ' � ! i �
42. Backflow Preventer � ' - i i �
43. Backflow Iriigation . _ ' ' .
44. L.andscape Irriqation System . . � _ .
45: Sound Attenuation ' � ,
46. Handicap Regulations � �
47. FWALSTRUCTURE&�BUILDMG - _�3_� �� � , �
48. FINAL PLANNING i !_ �
49. Elec[ric Release to Edison ' I � I
t � • 1
•50. Gas,Release to Southern California Gas Co , I i � �
51. CERTIFICATEOF:OCCUPANCY _ •
No. Date
�J
i
PROJECTA�UHESS: �)jj,LAGE�CREEK HO
� OWNEfl'SNaME: ASSOCIATION
aooRess: 3429 TIMBER LAKE
CM VA 92626
ERS uxir:
CAESTER CARVILLE C18305
RflCHIENGINEEB: ]�J Z 2 ARMOUR S T . HEG.NO.: ,
ADOBESS: S, D, � (,A 9 2 1 1 1 UNIT:
PHOENIX ENTERPRISES INC, (213)690-9559
PEBMITTEE: 4 2 S COMERC IAL WAY
aooRess: L[� HABRA , CA 90631
LICENSEO CONTHpCTOB �ECIAHATION: I hereby a�firm �hat I am lae r pmvisions o� Chapter 9(commencing wi�h Sec�ion
�000l o� oi�i6y 06pt(g8usiness ane Pmfe¢�fi�� j 9d my r• i. � �� �orce and enec
CITY LIC.: T TE LIC.: 5: �
n/ �
Date: ��(L�_— Signa�ure- �'
WOflREflS' COp�p py BE NBPTION: I hereby aflirm thai I have a�i�iaol co�sen�to sell-insure or a certiticate ot Workers'
' POLICV NO. n C r��2���itie� capy jer�e��Se��'EXP. pp7Eab � V 1 7
'•'IY t�
3FOMPANY:
❑ Cenif tl cop i Iter¢b fumis tl� ❑ Cehifie0 capy is f i the BuilOing �ivisio
I'
Daie: � � � NpplicanC �
E%EMPTIONFpOMWONREBS'COMPENSATIONOECIABATI : (Thi55ectionneetlnotbecampletetli�IheDermiti5foronehunOreA�5100�ar1e55�.
I Certify Ihal in �ne peAormante oi ihe work lor whith this permi� is issueq I S�all n0� employ any pefson in any manner So as �o betome
subjecl �o ihe Workers' ComOensation Laws al Calilomia. �
Oaie: Signamre:
,NOTICE: II, afier making �his declaration, you shoultl �ecome sublect �o �he Workers' Compensation pmvisions of Ihe Labor
CoOe. you mus� fo��wiih comply wi�h such pwvisions or this permii Shall h¢ deemeA revoke0.
' CONSTflUCTION LENUING ACENCY: I here6y aftirm t�at t�ere is a consimction lentling ageucy far ihe pertormance of ihe work tor
w�ich Ihis permi� is issued �Sec�ion 3097. Civ. C).
i LENOEH:
� � �AOOflE55: ,
OWNEN BUILOEH DECLABpTION: I �ere�y allirm that I am exempi tmm the Con�mc�ors' Sta�e Litense law tor lhe �ollowing reason
�Seqion 7031.5 Business anA Pwfe55ional Cotle'. Fny ci�y ol county which requires a permii �o conslmcl, ai�er, improve, tlemolish, or
repair.any s�mnure, prior Io iis issuance, also requires �he aOP�ican� br such permi� to file a signetl s�a�emem Ihat he/she is IicenseU
pursuam m ihe provisions o� I�e ConVacmrs' S�ate License Law (Chapter 9(commencing wilh Sec�ion 7000) o� Division 3 of the Business
ana Pmlessions Code) or ihat he/she is exempt therefrom an0 ihe basis 1or ��e allege0 e�emption. Any violation oi Section 7031.5 6y
any applican� lof a Defmi� SubleC�S �he aDPliCanl �o a tivil penalry Of n0� mOre Ihan five hUndr¢tl 4ollar5 ($500�.
I, as owner ol Ihe pmperty or my employees wilh wages as �heir sole compensatioq will do �he work, antl �he
❑ slmcWre is not imentled or ofleretl tor sale (Section 70a4, Business antl Pm�essianal Code: The Conlrac�ms' Sta�e Licenre Law
tloes noi apD�Y �o an owner ol a pmperty who builtls ar impmves ihereon, antl w�o tloes such work himselVherself or tAmugA
his or hef own employeeS,�Dmvi4e0 Ihal suth impmvemen�s are nol in�endetl or oflered lor Sale. If, however Ihe builAing or
im0�avement is iold wi�hin one year n� comDlelion, �he awne� will have the �ur0en of pmving helshe tlitl not builtl or imD�o�e
' lor ihe purpose of salel.
I, as awner of �Ile pmper�y, am exclusively coNrac�ing wi�h Iicense0 contraclors to cons�ruct the pmlec� (Section 7044, Business
❑ antl Pmfessions Cotle: The Comracmrs' State License Law tloes nol apply to an owner oi pmperry w�o huilds or imD�aves ihereon
antl who conVac�s �or such pmlec�s wi�h a conlrac�m�s) license pursuant�o I�e Contractors' $tate License Law). I am aware
�ha� proof o� Iheir Worker's Campensa�ion insurance should 6e pmvided �o me. _
� I am exemp� under Seclion: B. 8 P. C.
IOr �hi5 reason:
Oa�e Owner.
I tlo here�y cenify Ihat I am aware ol antl un0erstan4 t�e requirements o( Califomia Health antl Salery Cotle Sections 25505, 25533, and
25534 and Ihat I or any fuWre building occupani willlwill no� (circle one) need Io com0ly with 5ai0 s�a�e coDes and the requirements lor a
permi� for conslmc�ion or moDAica�ion Imm �he Air Oualiry Management Dislrict Fesidential cons�mcfion applica�ions are exemp� imm
Ihese provisions. � ' '
Date'. qpplicani:
I hareby ceritly Ihat I have read Ihls apPlicaiion ana slale �hal l�e ab �or a�ion Is conecL I agree �o comply wilh all ciry antl coun�y
ordinancesandslalelawsrelating�obuiltlmgconsimclionantlnere�� orize preseniat�vesolt � toenteruponlheahove-menlioned
pmpetly I inSf�Deyop f rpo5
Daie: _� ��/—..
Orivefs License or,5ocial Securiry n: �
1641�46 White—Bwltlingl Green—Cotle Enforcemenl'. CanarV—APPlicanl: Pink—Revenue: Goltlenrod—Pssessor
CITY OF' COSTA MESA - BUILDING PERMI'P. �' i� �•�'
PERMZT NO; B 050622 PLAN CHECK NO: 00089-91 A r..n��T. u crTno• ra I
CONSTRUCTION TYPE: V-N' PERMIT TYPE; STR ' PURPOSE: REP
JOB DESCRIATION : REPATR SETTLEMENT DAMAGE ' SQ FT;' , 143
CLAIM VALUE: :14,.300,00 CALC-VALUE: 14,300,00 GROUP OCC; R--3 /
COMMENTS; BUILDINC SETTLEMENT REPAIR/FOUNDATION.
if jE if iE !f iF �lE 1F If if if 3f fP ff 1f if if 1E iF if 3P iE iE iE 1F 3E IE jE iF iE 1F 3f �%iE-)E iF 3f )F 3F iF iEiE �E il� 1E aE ih iElf iE 3f 1F Ik if iE 14 iE jF 3E 1f # iF iE iE 3f jE if iE iE iE 3E 341E 3� aE 1f iE iF iE
Z O N I N G R E Q li I R E M E, N,T S �
S E T H A C K S
------------ MAIN bUILDING ---------- --------- ACCESSORY BUILUING ---------
FRNT: FT IN REAR; FT IN FRNT; FT IN REAR: FT SN
LEFT: FT IN RGHT; FT IN LEF'T; ; FT , IN RGHT; FT IN
PARHING REQ • PROV: PARCEL: 93506124 ZNE: R2 REF NO:
PLANNING NfSTES> FOUNDATION REPAIR
)
iF ii iE 1E iE 1E 3f iE if iF iE IF IE 1P if if iF iF iE 3f aE 7f df iE iE 1Elk �E 1E iE iE �IE if if iE ik iF 3E iE iE if iF 1t IE �E 1E iF �k iE if jf ik 1k 1E ff 3Elf iE dE �F if iE 3F IE 3! iE iE iF iE if ik iE # lFi4 iF iE iE 3f
D E V E L O P M E N T S E R V I C E S R E Q U Z R E M E N.;T S
ZON'ING AFPROVED HY � G-- _� DATE: o � I,��1
BUILDING APPRt�VED .HY : '-� / �-�J ` DATE:
�
APPLICATION ISSGED DATE:
ifiEiFlfiFifiF*iF3E1Ei(�YriEififiFlfiE �� r r � f����iEifiEiE�1(�3kiE1f�1f1F �7(-iE
ifif�E3EiF3EjEN�iEihib±flE3fif3ElfiEiElFiEikifiEiFikiEiElEjfjElFiE1E' itlfiflEiEdElF�F�fIFiE�EiFiEiFiEiEiE1E3EiFifiFiEfkaE3E�EY.�iflE3fiE3(�3fi4lF3EiF1E3EiF3fif
LEGALIZATION:N F E. S U M M A R Y STRUCTURAL SEGMENT:Y
' BLDG PMT PLUMBING ECTRIC' MECHANIC FIRE SMIP/RES GRADING
PERMIT ' 162.00 1.00
PLAN , 26,33 . ' SMIP/NON-RHS
ISSUE, FEE
BUILDING-DIV-> ,PERMIT ISSUE. PLAN-CHECK TOTAL PAID DUE
TOTALS----> 16"3.00 U,00 26.33 189,33 ,189.33 .00
REVENUE DIVISION TOTALS--> COLLECTED: 189.33 OVER/SHORT.: ,00
BLDG PMT PLUMBING ELECTRIC'MECHANIC FIAE SM,IP/TOT GRADING PLAN-CHECH
162.00 • ' 1.00 26.33
if if 3E ik iE jE 1E if ikiF 1E if• if iElf )k iE iE 3E )F 1F iF �IF ik 1F IF iEiE iE iE 1F 1F K iF # iE lE-IE 3f 4E 1E iE iElE iE fF iF if iE iE iE iE 7p iF !E iE 1E ik iElf IE iE fF iE # 3F 1k 3E iE iE 7E iE iFik iE �k 1f If %
I N D I V I D U A L F E E H R E A K D O W N
TYPE QTY D E 5 C R I P T I O N UNIT COST TOTAL CO�T
SFR 143� STRUCTURAL�BY VALU�. PER'5100.00 100,00 14,300,Q0
� END OF fiEES �
A
V
O1 Q00?E434—COG?853:: ""a�c7 � 189.3a
DATE: Qi/23/91 'f2F'E: 3Q.,5
CONSTRUCTION AND PLANNING � � P�.�L & SPA
Date Inspector � Date Inspector
�: APPROVALS Permit # �;.� - APPROVALS Permit #
r••
1. Temporary Electrical SerJice or Pole � ' 52. �Pool & Equipment Location �,} '
2. Soil Pipe-Undrgmd. � .� �� i, � 53. Steel Reinforcement �?y
�3. Electrical Conduit Utility-Undrgrnd. �r 54. Forms � r
'" �--_
_� 4. Electrical Cond�it,Undrgrnd!"- ..-�.... 55. Electricai Bonding /�
- 5. _Stee� Reinfoicement � 56. Rough Plumbing & Pressure Test �
�� 6.�.Electrical UFER Grnd. . 57. APPROVALTO COVER�GUNITE ,-,
7. Footings � � :/f 58. Electrical Conduit-Undrgrnd.
$., Foundation � } /�,%r ,/, j,� 59. Gas Pipe, � Undrgrnd., Test �, jj�
9. Water Pipe�U�dr,grnd. ���� �,' �' 60. Backwash Lines, P�Trap, � Undrgmd. "���;
10. Structurel Floor Systemi'^'' ��''` 61. APPROVAL TO DECK ��
11. Property Sewer Line & House Connection � 62. Backwash & Receptor�Final
12. Sewer Cap, ', � ' �) 63. Heater & Vent-Final ��
13. Roof Drains �'� - �'� ' 64. Plumbing System - Final �i, ��
14. Rough Plumbing ti.� �. f� 65. Electrical-Final . %`
15. Rough Electrical-Conduit ��, ,'� - 66. Solar System-Final �/
16. Rough EleMric Wiring �' �/� � 67. Fencing & Access ApProval //
17. Rough Wiring Sign � � 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling � , 69. POOL/SPA SYSTEMS FINAL
19. Rou9h Heating & Air Conditioning ' FfRE DEPT. REQUIREMENT
. - - � i.. , - ,
20. RoughFactory.Fireplace � • _ � � APPROVALS: Permit#� '
s � • -
21. Ducts; in Structure . , � .� 70. �Undeiground Hydro -
22. Ducts, Ventilating • � " )1. Prodyc[ Piping O�Gas 'OOiI
23. Gas Pipe�Rough & Test . ' � - � : 72. Undeiground Flush. , '
24. Roof Framing ' - �• 73. Undergrnd.Smra9eTapk OGas ❑�Oil �
" =
25. Roof Sheathing; . ' ' - {.; , ? ' ' 74,_Overhead Hydro �' .
26. T-Bar Ceiling (Structural) & Monocoat _ - l5.'Dry Chemical � � -
s-
27. Frame and Flashin9 ; _� 76: Dry Starid�pipe'? � � �
28. Lathing & Siding . _ _��� i i `, -� 77. FIXED SVSTEM FINAL �
,�
29. Insulatiori'_ . �� -� ' � 76. FIRE PREV. FINAL . _ ,
30. Drywall Nailing � � � . HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat .� i ' 79, FINALINSPECTION - �
32. Electrical Power MeterFinal � � � � �' - 80. FO00 CERTIPICATEdSSUED
33. Final Eleccric ' � � , i I Notes: - � 5 "_ - .
34. Final Heating & Air Conditioning � � � � � ��� , �-: � - - � . �'
ii /
35. Final Gas PiOe-Test " - � ; � ' � _ S /7 �
�J v
36. Hood or Canopy - . , � � ��
37. Pinal Factory Fireplace '- � k' '
.,
38. Final Plumbing- . , i � - • !
39. Water Service-Final ' �. . ",� � �
40. Gas Service-Final; . � . . �
41. Solar Oomestic-Final '� . 4 • � � • .
i
42. Backflow Preventer '" , � i �, ; . " � '
43. Backflow lirigation � ' • " . -
44. Landscape Irrigation System�' - , � � . '
45. Sound Attenuation � � =
�:;.
46. Handicap Regulations , " . -
_ �
47.. FINAL STRUCTURE & BUILDING �� � � _•
48. FINALPLANNING � .,, , � � , `
49. Electric Release to Edison • � �� _
I ' �.
50. Gas Release to Southem California Gas Co � � i' � I
51. CERTIFICATE QF OCCUPANCY „ .-. , .
No. Date
OWNER STATE-W]
JOB ADDRESS 3430
GENERAL CONTRACTOR Se
A' 'o. � OT
li _CTIONS
SOIL
GAS
WATER
ROUGH PLUM9ING
PftOP. $WR. LINE � HOUSE CON. Q�
SPRINKLING SVSTEM
MISCELLANEOUS
ROUGH HEATING FND AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNOERGROUND � POWER �
ROIIGH WIRING
TRENCHES � FORMS � STEEL RE
FLOOR SYSTEM
BONO BEAM ❑ STEEL REINFORCE i
SHEATHING
FRqME AND FLASHING� �
LATHING - IN OUT '
PLASTEft, BROWN COAT
5- �URAL, FINPL
ELECTR
BUIL�IP
FINFI
FINAI
FINAL
Inc. DATE 4-28-76
: S�ll��11C1�f9i:/.'.I��CUa
SUBCONTRACTOR
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 7200 COSTA MESA, CALIFORNIA 92626
For Applicant fo Fill in Completely .
AooRESs 3430 Meadow Brook
OWNER State-Wide Developers, Inc.
ADDRESS 9461 Grindlay �
c�r� Cvoress No�$26-45!
ADDRESS
ARCHITECT
CONYRACTOFiState-Wide Developers
ADDRESS g461 Grindlav �
TE�.
GTV Cvnress ' N��
STAYE . CITV
uc. No. 224710 LIG.,NO.
OFLOT jp_�9� acres NOWON
EXI5YING BLDG.
512E OF NO. OF
NEW 6LDG. ROOMS STOF
EXTEP�ORWALL �a$ter ROOF
COVEFl�NG (�(�(� COVEpING Shak
USE OF BUILDING AND WORK TO BE PERFOflMED
I hareby acknowletlBa that I have reatl this application end stata
that the above informetion is correct end agree to comply with
all laws re0ulating builtling construcNon, and 1 shall not employ
any person in violation of the workman'a companaation laws af
<he Stete of Califomia.
I hereby certify that I am properly Iicensed as a conbactor untler
the Stata ot Californla Business antl Professions Cotla, Divisicn 3,
Chaptar 9, and Mat such licenses are In full force antl effect, or 1
am exempt frOm the provisions of the S[ate of Calltarnia Business
antl Protessions Code, Division 3, Chapter 9.
SlBnatur State-Wide Develo � r
Pe�miY<ee �
„��ho„=ed,,aa�t Vice President
rn � �cft45.4U� IJU+e s;ra�b
' hih'i 13'��YpIGo� .. [ /(�
�C+95t �%5�i ic�t: LU�.I'iG
APPLICATION FOR�BUILDING PERMIT
:EIVED BV DATE RECEIVED ❑pTF �ssucn .
A.P. NO. /Y d—'OS'4 -o
BUILDING �/
ADDRESS .373[� �+
TRACT 6� l
W A
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OWNER ��(
use 1 Res w/att qar
FIRE .
ZONE NO.OF USE OF �
/ZZ G/� PLANS 2 BUILDING
VAflOSAPPROVED VARD
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DISTANCE BET.
MAIN BLO('S. �
VAR. #
C.U.P.�-
APPPOVED
HOLD FOR
BET. MAIN &
ACCFSS. BLD
DATE .
THE AMOUNTSHOWN UNDER VALUATION
THE PURPOSE OF ESTABLISHING A PERMIT FEE
VA UAT ON y� r
6�CO:3� PEflMIT FEE $ �/�
J �PLAN CHECK $ �
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